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Comment published on 16 April 2019, see Int. J. Environ. Res. Public Health 2019, 16(8), 1373.
Open AccessPerspective

Shedding Light on Vitamin D Status and Its Complexities during Pregnancy, Infancy and Childhood: An Australian Perspective

1
Women’s and Children’s Division, Sunshine Hospital, St Albans, VIC 3021, Australia
2
Department of Paediatrics, University of Melbourne, Royal Children’s Hospital, Parkville, VIC 3052, Australia
3
Australian Institute for Musculoskeletal Science, University of Melbourne, Sunshine Hospital, St Albans, VIC 3021, Australia
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(4), 538; https://doi.org/10.3390/ijerph16040538
Received: 10 January 2019 / Revised: 1 February 2019 / Accepted: 7 February 2019 / Published: 13 February 2019
(This article belongs to the Special Issue Vitamin D and Public Health)
Ensuring that the entire Australian population is Vitamin D sufficient is challenging, given the wide range of latitudes spanned by the country, its multicultural population and highly urbanised lifestyle of the majority of its population. Specific issues related to the unique aspects of vitamin D metabolism during pregnancy and infancy further complicate how best to develop a universally safe and effective public health policy to ensure vitamin D adequacy for all. Furthermore, as Australia is considered a “sunny country”, it does not yet have a national vitamin D food supplementation policy. Rickets remains very uncommon in Australian infants and children, however it has been recognised for decades that infants of newly arrived immigrants remain particularly at risk. Yet vitamin D deficiency rickets is entirely preventable, with the caveat that when rickets occurs in the absence of preexisting risk factors and/or is poorly responsive to adequate treatment, consideration needs to be given to genetic forms of rickets. View Full-Text
Keywords: Vitamin D deficiency; rickets; vitamin D during pregnancy; foetal life; infancy and lactation; UV B; sun exposure; health literacy; mineral ion nutrition; vitamin D dependent rickets Vitamin D deficiency; rickets; vitamin D during pregnancy; foetal life; infancy and lactation; UV B; sun exposure; health literacy; mineral ion nutrition; vitamin D dependent rickets
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Di Marco, N.; Kaufman, J.; Rodda, C.P. Shedding Light on Vitamin D Status and Its Complexities during Pregnancy, Infancy and Childhood: An Australian Perspective. Int. J. Environ. Res. Public Health 2019, 16, 538.

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